Payment for PESTA BOLA JARING 2024

Please enter information on this form to make payment

Team Information

Team Name *

Team Manager Name *

Phone *

IC / Passport Num *

Address *

Email *

Category

Please key in the number of team in the box provided & press ENTER.

Open ( Men)

Open ( Women)

IHL ( Women)

Under 18

Under 15

Under 12

I agree to abide by all rules and regulations laid down by the organizing committee of 30th PESTA BOLA JARING USM-PENANG INTERNATIONAL 2024. I will not hold the organizers, sponsors and Universiti Sains Malaysia responsible for any mishaps that may occur before, during or after the tournament. I also hereby agree to obtain permission from parents/guardians of the participants who are below 18 years of ages.

Total

MYR

Payment method

Online Payment ( FPX / Credit Card/ Debit Card )

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*